Thesis
Predictors of cardiac rehabilitation completion
Washington State University
Master of Science (MS), Washington State University
2019
Handle:
https://hdl.handle.net/2376/102527
Abstract
According to the CDC, the number one cause of death in the United States is heart disease. Cardiac rehabilitation (CR) programs have been shown to reduce both mortality and morbidity rates from cardiovascular disease. However, poor adherence rates are common in CR programs. Previous studies have identified a number of factors that predict adherence to CR programs including psychological distress, gender, age, and illness beliefs. A growing body of literature has linked the use of Acceptance and Commitment Therapy (ACT) with greater health behavior change. Psychological flexibility itself is associated with making and maintaining health behavior changes. To date, no one has identified whether psychological flexibility predicts adherence to CR. Individuals seeking CR programs at Pullman Regional Hospital and St. Luke's Hospital were sampled. During the intake, participants were asked to complete the Patient Health Questionnaire - 9 (PHQ-9) to assess for depression and the Acceptance and Action Questionnaire II (AAQ-II) to assess for psychological flexibility as predictor variables. Information on age, gender, resting heart rate, and resting blood pressure were collected. Completion status was measured as completing the number of sessions allotted by the insurance company. We hypothesized that higher psychological flexibility, lower depression, and being male would predict greater completion rates. A binary logistic regression was utilized to assess the significance of the predictor variables. As predicted, being female reduced the odds of completing the CR program. Resting heart rate and resting diastolic blood pressure also predicted completion status. Neither depression nor psychological flexibility were significant predictors. The results and future directions are discussed.
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Details
- Title
- Predictors of cardiac rehabilitation completion
- Creators
- Brenna Amanda Boyd
- Contributors
- Bruce R. Wright (Degree Supervisor)
- Awarding Institution
- Washington State University
- Academic Unit
- Psychology, Department of
- Theses and Dissertations
- Master of Science (MS), Washington State University
- Publisher
- Washington State University; [Pullman, Washington] :
- Identifiers
- 99900525392901842
- Language
- English
- Resource Type
- Thesis